Kyle D Vaught, LPC | |
214 Bush River Drive, Farmville, VA 23901 | |
(434) 392-3187 | |
(434) 392-5789 |
Full Name | Kyle D Vaught |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 214 Bush River Drive, Farmville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457508798 | NPI | - | NPPES |
004945450 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0701004337 (Virginia) | Primary |
Entity Name | Crossroads Services Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528091063 PECOS PAC ID: 4486649977 Enrollment ID: O20040415000364 |
Mailing Address | Practice Location Address |
---|---|
Kyle D Vaught, LPC P.o. Box 248, Farmville, VA 23901 Ph: (434) 392-3187 | Kyle D Vaught, LPC 214 Bush River Drive, Farmville, VA 23901 Ph: (434) 392-3187 |
Hans Peter Paulsen, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 214 Bush River Dr, Po Drawer 248, Farmville, VA 23901 Phone: 434-392-3187 Fax: 434-392-5789 | |
Daniel Cook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Mill St Ste 102, Farmville, VA 23901 Phone: 434-392-3482 | |
Shanika Dove, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Andrews Dr, Farmville, VA 23901 Phone: 434-414-2958 | |
Jennifer Kelsey Dickson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 W 3rd St, Farmville, VA 23901 Phone: 434-392-4074 | |
Louis Lee Huddleston, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Buffalo St, Farmville, VA 23901 Phone: 434-547-3547 | |
Kristen Hedrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 Bush River Dr, Farmville, VA 23901 Phone: 434-392-3187 | |
Andrea Chanelle Walker, MS-RESIDENT Counselor Medicare: Not Enrolled in Medicare Practice Location: 422 Winston St Apt D, Farmville, VA 23901 Phone: 434-547-8654 |